Symposiums

Progress of electromagnetic navigation bronchoscopy in diagnosis and treatment of pulmonary nodules

  • Xi′nan CHEN ,
  • Xudong. XU
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  • *. The Second Clinical Medical College of Zhejiang Chinese Medical University,Hangzhou 310053,China

Received date: 2023-08-08

  Online published: 2024-01-24

Abstract

With the popularity of low?dose computed tomography (LDCT) in physical examination and the widespread concern of people about lung diseases after COVID?19 outbreak, the detection rate of pulmonary nodules in the population has increased year by year. The clinical cases of early lung cancer and multiple primary lung cancer are increasing, and the necessity of personalized treatment tailored to the diverse detection of pulmonary nodules is highlighted in the diagnosis and treatment process of pulmonary nodules. However, chest CT and traditional bronchoscopy not only have insufficient accuracy in preoperative localization of pulmonary nodules and the diagnosis of benign and malignant pulmonary nodules, but also have significant limitations in the diagnosis and treatment of patients who cannot undergo surgery. The emergence of electromagnetic navigation bronchoscopy (ENB) has greatly solved this problem and further improves the diagnosis and treatment process of pulmonary nodules. ENB is a new technology that relies on electromagnetic positioning technology to locate, biopsy, and minimally invasive treatment of pulmonary nodules through bronchoscopy. In this review, we mainly summarize the application and latest progress of ENB in the diagnosis and treatment of pulmonary nodules.

Cite this article

Xi′nan CHEN , Xudong. XU . Progress of electromagnetic navigation bronchoscopy in diagnosis and treatment of pulmonary nodules[J]. The Journal of Practical Medicine, 2024 , 40(1) : 1 -6 . DOI: 10.3969/j.issn.1006-5725.2024.01.001

References

1 SUNG H , FERLAY J , SIEGEL R L , et al . Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries [J]. CA Cancer J Clin, 2021, 71(3): 209-249.
2 FINLEY R J , MAYO J R , GRANT K , et al . Preoperative computed tomography-guided microcoil localization of small peripheral pulmonary nodules: a prospective randomized controlled trial [J]. J Thorac Cardiovasc Surg, 2015, 149(1): 26-31.
3 SUZUKI K , NAGAI K , YOSHIDA J , et al . Video-assisted thoracoscopic surgery for small indeterminate pulmonary nodules: indications for preoperative marking [J]. Chest, 1999, 115(2): 563-568.
4 GOULD M K , FLETCHER J , IANNETTONI M D , et al . Evaluation of patients with pulmonary nodules: when is it lung cancer?: ACCP evidence-based clinical practice guidelines (2nd edition) [J]. Chest, 2007, 132(3 ): 108S-130S.
5 SEIJO L M . Electromagnetic navigation bronchoscopy: clinical utility in the diagnosis of lung cancer [J]. Lung Cancer (Auckl), 2016, 7: 111-118.
6 郭超,刁夏尧,黄诚,等 . 电磁导航支气管镜在胸外科中的应用及进展 [J]. 中国肺癌杂志, 2022, 25(2): 118-123.
7 LI Y , LI X , SUI X Z , et al . Comparison of the autofluorescence bronchoscope and the white light bronchoscope in airway examination [J]. Chin J Cancer, 2010, 29(12): 1018-1022.
8 GAO L , ASMITANAND T , REN H , et al . Fiber-optic bronchoscope and detection of lung cancer: a five year study [J]. Neoplasma, 2012, 59(2): 201-206.
9 ISHIDA T , ASANO F , YAMAZAKI K , et al . Virtual bronchoscopic navigation combined with endobronchial ultrasound to diagnose small peripheral pulmonary lesions: a randomised trial [J]. Thorax, 2011, 66(12): 1072-1077.
10 ASANO F , EBERHARDT R , HERTH F J . Virtual bronchoscopic navigation for peripheral pulmonary lesions [J]. Respiration, 2014, 88(5): 430-440.
11 MEHTA A C , HOOD K L , SCHWARZ Y , et al . The Evolutional History of Electromagnetic Navigation Bronchoscopy: State of the Art [J]. Chest, 2018, 154(4): 935-947.
12 MCGUIRE A L , MYERS R , GRANT K , et al . The Diagnostic Accuracy and Sensitivity for Malignancy of Radial-Endobronchial Ultrasound and Electromagnetic Navigation Bronchoscopy for Sampling of Peripheral Pulmonary Lesions: Systematic Review and Meta-analysis [J]. J Bronchology Interv Pulmonol, 2020, 27(2): 106-121.
13 FOLCH E E , PRITCHETT M A , NEAD M A , et al . Electromagnetic Navigation Bronchoscopy for Peripheral Pulmonary Lesions: One-Year Results of the Prospective, Multicenter NAVIGATE Study [J]. J Thorac Oncol, 2018, 14(3): 445-458.
14 XIE F , ZHANG J , CAO L , et al . Design of a prospective, multicenter, and cohort study of an innovative electromagnetic navigation bronchoscopy in diagnosing pulmonary nodules among Chinese population [J]. J Thorac Dis, 2019, 11(12): 5592-5600.
15 MALLOW C , LEE H , OBERG C , et al . Safety and diagnostic performance of pulmonologists performing electromagnetic guided percutaneous lung biopsy (SPiNperc) [J]. Respirology, 2019, 24(5): 453-458.
16 THIBOUTOT J , LEE H J , SILVESTRI G A , et al . Study Design and Rationale: A Multicenter, Prospective Trial of Electromagnetic Bronchoscopic and Electromagnetic Transthoracic Navigational Approaches for the Biopsy of Peripheral Pulmonary Nodules (ALL IN ONE Trial) [J]. Contemp Clin Trials, 2018, 71: 88-95.
17 THIBOUTOT J , PASTIS N J , AKULIAN J , et al . A Multicenter, Single-arm, Prospective Trial Assessing the Diagnostic Yield of Electromagnetic Bronchoscopic and Transthoracic Navigation for Peripheral Pulmonary Nodules [J]. Am J Respir Crit Care Med, 2023, 208(8):837-845.
18 ROJAS-SOLANO J R , UGALDE-GAMBOA L , MACHUZAK M . Robotic Bronchoscopy for Diagnosis of Suspected Lung Cancer: A Feasibility Study [J]. J Bronchology Interv Pulmonol, 2018, 25(3): 168-175.
19 CHEN A C , PASTIS N J , JR., MAHAJAN A K , et al . Robotic Bronchoscopy for Peripheral Pulmonary Lesions: A Multicenter Pilot and Feasibility Study (BENEFIT) [J]. Chest, 2021, 159(2): 845-852.
20 FIELDING D I K , BASHIRZADEH F , SON J H , et al . First Human Use of a New Robotic-Assisted Fiber Optic Sensing Navigation System for Small Peripheral Pulmonary Nodules [J]. Respiration, 2019, 98(2): 142-150.
21 SIMOFF M J , PRITCHETT M A , REISENAUER J S , et al . Shape-sensing robotic-assisted bronchoscopy for pulmonary nodules: initial multicenter experience using the Ion Endoluminal System [J]. BMC Pulm Med, 2021, 21(1): 322.
22 PAEZ R , LENTZ R J , SALMON C , et al . Robotic versus Electromagnetic Bronchoscopy for Pulmonary LesIon AssessmeNT: the RELIANT pragmatic randomized trial [J]. Res Sq, 2023, PMID: .
23 BOWLING M R , FOLCH E E , KHANDHAR S J , et al . Fiducial marker placement with electromagnetic navigation bronchoscopy: a subgroup analysis of the prospective, multicenter NAVIGATE study [J]. Ther Adv Respir Dis, 2019, 13: 1753466619841234.
24 WANG L L , HE B F , CUI J H , et al . Electromagnetic navigational bronchoscopy-directed dye marking for locating pulmonary nodules [J]. Postgrad Med J, 2020, 96(1141): 674-679.
25 HYUN K , PARK I K , SONG J W , et al . Electromagnetic navigation bronchoscopic dye marking for localization of small subsolid nodules: Retrospective observational study [J]. Medicine (Baltimore), 2019, 98(11): e14831.
26 CHEN A , PASTIS N , FURUKAWA B , et al . The effect of respiratory motion on pulmonary nodule location during electromagnetic navigation bronchoscopy [J]. Chest, 2015, 147(5): 1275-1281.
27 QIAN K , DENG Y , SHEN C , et al . Combination of electromagnetic navigation bronchoscopy-guided biopsy with a novel staining for peripheral pulmonary lesions [J]. World J Surg Oncol, 2019, 17(1): 158.
28 KIM M P , NGUYEN D T , CHAN E Y , et al . Computed tomography criteria for the use of advanced localization techniques in minimally invasive thoracoscopic lung resection [J]. J Thorac Dis, 2018, 10(6): 3390-3398.
29 LUO K , LIN Y , LIN X , et al . Localization of peripheral pulmonary lesions to aid surgical resection: a novel approach for electromagnetic navigation bronchoscopic dye marking [J]. Eur J Cardiothorac Surg, 2017, 52(3): 516-521.
30 ANAYAMA T , HIROHASHI K , MIYAZAKI R , et al . Near-infrared dye marking for thoracoscopic resection of small-sized pulmonary nodules: comparison of percutaneous and bronchoscopic injection techniques [J]. J Cardiothorac Surg, 2018, 13(1): 5.
31 HE J , YANG H , HE J , et al . Electromagnetic navigation bronchoscopy fluorescence localization and VATS subxiphoid bilateral wedge resection under non-intubated anesthesia [J]. J Thorac Dis, 2019, 11(7): 3186-3190.
32 DUPUY D E , GOLDBERG S N . Image-guided radiofrequency tumor ablation: challenges and opportunities-part Ⅱ [J]. J Vasc Interv Radiol, 2001, 12(10): 1135-1148.
33 XIE F , ZHENG X , XIAO B , et al . Navigation Bronchoscopy-Guided Radiofrequency Ablation for Nonsurgical Peripheral Pulmonary Tumors [J]. Respiration, 2017, 94(3): 293-298.
34 LI G , XUE M , CHEN W , et al . Efficacy and safety of radiofrequency ablation for lung cancers: A systematic review and meta-analysis [J]. Eur J Radiol, 2018, 100: 92-98.
35 WOLF F J , GRAND D J , MACHAN J T , et al . Microwave ablation of lung malignancies: effectiveness, CT findings, and safety in 50 patients [J]. Radiology, 2008, 247(3): 871-879.
36 BAISI A , DE SIMONE M , RAVEGLIA F , et al . Thermal ablation in the treatment of lung cancer: present and future [J]. Eur J Cardiothorac Surg, 2013, 43(4): 683-686.
37 BARRAL M , AUPERIN A , HAKIME A , et al . Percutaneous Thermal Ablation of Breast Cancer Metastases in Oligometastatic Patients [J]. Cardiovasc Intervent Radiol, 2016, 39(6): 885-893.
38 JONES G C , KEHRER J D , KAHN J , et al . Primary Treatment Options for High-Risk/Medically Inoperable Early Stage NSCLC Patients [J]. Clin Lung Cancer, 2015, 16(6): 413-430.
39 MAXWELL A W P , HEALEY T T , DUPUY D E . Microwave Ablation of Lung Tumors Near the Heart: A Retrospective Review of Short-Term Procedural Safety in Ten Patients [J]. Cardiovasc Intervent Radiol, 2017, 40(9): 1401-1407.
40 MACCHI M , BELFIORE M P , FLORIDI C , et al . Radiofrequency versus microwave ablation for treatment of the lung tumours: LUMIRA (lung microwave radiofrequency) randomized trial [J]. Med Oncol, 2017, 34(5): 96.
41 HARMS W , KREMPIEN R , GREHN C , et al . Electromagnetically navigated brachytherapy as a new treatment option for peripheral pulmonary tumors [J]. Strahlenther Onkol, 2006, 182(2): 108-111.
42 MANSOORI B , MOHAMMADI A , AMIN DOUSTVANDI M , et al . Photodynamic therapy for cancer: Role of natural products [J]. Photodiagnosis Photodyn Ther, 2019, 26: 395-404.
43 CHEN K C , LEE J M . Photodynamic therapeutic ablation for peripheral pulmonary malignancy via electromagnetic navigation bronchoscopy localization in a hybrid operating room (OR): a pioneering study [J]. J Thorac Dis, 2018, 10(): S725-S730.
44 KHAN A M , PIPKIN M , MOZAYYAN S , et al . Severe acute airway obstruction and respiratory failure with fibrous plug following photodynamic therapy (PDT): indication for early bronchoscopy and debridement [J]. Photodiagnosis Photodyn Ther, 2014, 11(2): 254-258.
45 ABOUDARA M , ROLLER L , RICKMAN O , et al . Improved diagnostic yield for lung nodules with digital tomosynthesis-corrected navigational bronchoscopy: Initial experience with a novel adjunct [J]. Respirology, 2020, 25(2): 206-213.
46 PRITCHETT M A , BHADRA K , MATTINGLEY J S . Electromagnetic Navigation Bronchoscopy With Tomosynthesis-based Visualization and Positional Correction: Three-dimensional Accuracy as Confirmed by Cone-Beam Computed Tomography [J]. J Bronchology Interv Pulmonol, 2021, 28(1): 10-20.
47 DUNN B K , BLAJ M , STAHL J , et al . Evaluation of Electromagnetic Navigational Bronchoscopy Using Tomosynthesis-Assisted Visualization, Intraprocedural Positional Correction and Continuous Guidance for Evaluation of Peripheral Pulmonary Nodules [J]. J Bronchology Interv Pulmonol, 2023, 30(1): 16-23.
48 EBERHARDT R , ANANTHAM D , ERNST A , et al . Multimodality bronchoscopic diagnosis of peripheral lung lesions: a randomized controlled trial [J]. Am J Respir Crit Care Med, 2007, 176(1): 36-41.
49 PRITCHETT M A , SCHAMPAERT S , DE GROOT J A H , et al . Cone-Beam CT With Augmented Fluoroscopy Combined With Electromagnetic Navigation Bronchoscopy for Biopsy of Pulmonary Nodules [J]. J Bronchology Interv Pulmonol, 2018, 25(4): 274-282.
50 VERHOEVEN R L J , KOPS S E P , WIJMA I N , et al . Cone-beam CT in lung biopsy: a clinical practice review on lessons learned and future perspectives [J]. Ann Transl Med, 2023, 11(10): 361.
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